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NPI Code Detail

MEDICARE: PROF. JOEL CARL KAHANE PHD

MEDICARE:  PROF. JOEL CARL KAHANE  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP000000570TN

General Provider Information

NPI Number : 1336273648
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. JOEL CARL KAHANE PHD
Provider Business Mailing Address
First Line : 965 RIDGE LAKE BLVD STE 103
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-9446
Country : US
Telephone Number :
Fax Number : 901-227-8591
Provider Business Practice Location Address
First Line : 7675 WOLF RIVER CIR STE 202
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-1747
Country : US
Telephone Number : 901-737-3021
Fax Number : 901-737-6063
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2007
Last Update Date : 07/10/2020

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Directions to “ PROF. JOEL CARL KAHANE PHD” Practice Location

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